Unesifo sokuphuza lapho imithi noma ezinye izindlela zokwelashwa ezibekwe ukuphatha isithuthwane sakho zihluleka ukulawula ukuhlukunyezwa kwakho. Uma lokhu kwenzeka kuwe, kungenzeka ukuthi udokotela wakho uzoxoxa ngezindlela ezihlukile zokugcina ukuhlukunyezwa kwakho. Lezi zindlela zokwelashwa ezihlukile zingase zihlanganise nokudla okunomthelela kakhulu noma ngisho nokuhlinzwa.
Isithuthwane esingenakulinganiswa singahamba ngamagama amaningana ahlukene, kufaka phakathi isithuthwane sokuphikisa, isithuthwane esingagulanga ukwelashwa, isifo sokuphuza esingalawuleki noma isifo sokuphuza izidakamizwa.
Ungase uzwe odokotela bekhuluma "ngokuhlukunyezwa okungenakwenzeka." Wonke lawa magama asho ngokuyisisekelo into efanayo: ukwelashwa akukwenzi ukulawula isithuthwane sakho.
Lesi simo sivame kakhulu kunalokho ongacabanga ukuthi uyisithuthwane - abanye abangaba ngu-30% bonke abanesifo sokuwa nesifo sokuphuza bayaqhubeka bezama ukuphazamisa izinga labo lokuphila naphezu kokuthatha imithi. Uma ukwandisa incazelo yesithuthwane esingenakwenzeka ukuhlanganisa noma ubani othunjwa ngenkathi elashwa (njengoba abanye abacwaningi nabahlengikazi bephakamisa), izinombolo ziphakeme nakakhulu.
Kungani Abanye Banesifo Sokuphuza?
Lokhu akusobala ngaso sonke isikhathi. Yiqiniso, kungenzeka ukuthi ukuxilongwa kwangempela kwakungalungile, futhi awunaso isithuthwane ngemuva kwakho konke. Lokhu kwenzeka ngempela emacimbini amacala okuqala okucatshangwa ukuthi aphethwe yisithuthwane esiphuthumayo - kwesifundo esisodwa, abantu abangaba ngu-13% abhekiselwe ochwepheshe be-epileptic abangenakwenzeka bengenaso isithuthwane.
Kodwa abantu abaningi abathintekayo abanesifo sokuwa nesifo sokuhlushwa banesimo. Ngakho-ke, uma ukwelashwa kungasebenzi, ungase udinge ukwelashwa okuhlukile, noma kungase kube nokukhishwa kwendlela yokuphila okubangela ukuhlukunyezwa kwakho.
Uma isithuthwane sakho sehluleka ukuza ngokushesha ngaphansi kokulawulwa kwemithi yokuqala yokwelashwa futhi ulandela ngokucacile uhlelo lwakho lwezokwelapha, udokotela wakho angancoma ukushintsha imithi.
Kuze kube yilapho izidakamizwa ezimbili noma ngaphezulu sezihlulekile ukukusebenzela ukuthi odokotela bacabange ukuthi isithuthwane sakho singathinteki.
Izinketho zokwelapha ze-Epilepsy ezingenakwenzeka
Ngisho noma unesithuthwane esingathinteki, lokho akusho ukuthi isimo sakho asikwazi ukuphathwa. Kunezinketho eziningi zokwelapha.
Ngezinye izikhathi, imithi ehlukile izoletha isithuthwane sakho ngaphansi kokulawula. Uma unenkinga yokukhumbula ukuthatha imithi yakho noma imithi yakho ibangela imiphumela emibi kuwe, udokotela wakho angasebenza nawe ukuxazulula izinkinga ezihambisana nokuphathwa kwezidakamizwa.
Uma imithi ingasebenzi nje, ungase uthande ukucabangela ukuhlinzwa ukuze ulawule ukuhlukunyezwa kwakho. Kunezinhlobo eziningana zokuhlinzwa, ngasinye sinengozi nezinzuzo ezingenzeka. Kufanele uhlolwe esikhungweni esiphezulu sokuhlupha ukuze uthole ukuthi yini enconywe kulokho okuqondile.
Okunye ukwelashwa okungenzeka kunesifo sokuphuza okungenakwenzeka kubandakanya ukudla kwe-ketogenic, ukuvuselela kwe-vagus nerve, uhlelo lwe-RNS, ngisho ne-biofeedback. Kanti futhi, odokotela esikhungweni esiphezulu se-epilepsy bangahlola ukuthi bangakhetha kanjani futhi benze izincomo.
> Imithombo:
> Isifo sokuShukela. Ishidi le-Epilepsy elibhekisayo le-Refractory.
> Nagai Y et al. Izindlela eziphambili ze-Electrodermal Biofeedback ekunciphiseni imvamisa ye-Seizure ngeziguli ezine-Epilepsy: Isifundo se-Neuroimaging. Umhlangano Wonyaka Wonyaka we-American Epilepsy Society abstract 3.277.
> Schuele SU et al. Isithuthwane esingenakulinganiswa: ukuphathwa kanye nezinye izindlela zokwelapha. I-Lancet Neurology. 2008 Jun; 7 (6): 514-24.
> Smith D et al. Ukungazi kahle kahle kwesithuthwane nokuphathwa kwesithuthwane esiphendukayo emtholampilo wezobuchwepheshe. QJM. 1999 Jan; 92 (1): 15-23.
> Ye F et al. Ukuhambisana nokuhambisana nokubekezela ngesidlo se-ketogenic kubantu abadala abanesithuthwane esingenakwenzeka: ukuhlaziywa kwe-meta. Journal of Neurology Clinic. 2015 Jan; 11 (1): 26-31.